Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Minimally-invasive Percutaneous Screw Fixation of Displaced Intra-articular Calcaneal Fractures

최소 침습적 경피적 나사못 고정 방법을 이용한 전위된 관절내 종골 골절 치료

  • Chae, Soo-Uk (Department of Orthopaedics Surgery, Wonkwang University College of Medicine) ;
  • Yang, Jung-Hwan (Department of Orthopaedics Surgery, Wonkwang University College of Medicine)
  • 채수욱 (원광대학교 의과대학 정형외과학교실) ;
  • 양정환 (원광대학교 의과대학 정형외과학교실)
  • Received : 2010.04.20
  • Accepted : 2010.05.13
  • Published : 2010.06.15
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Abstract

Purpose: The purpose of this study is to analyze the clinical and radiological results of minimally invasive percutaneous screw fixation in intra-articular calcaneal fractures and its complications. Materials and Methods: This study is based on 30 intra-articular calcaneal fractures that treated by index operation from June 2005 to November 2006 with at least 6 months follow-up. We assessed the clinical and radiological outcomes and complications. Results: According to Sanders classification, there were 8 in type IIA, 7 in type IIB, 3 in type IIIAB, 6 in type IIIBC, 6 in type IV. And according to Essex-Lopresti classification, there were 9 in the tongue type, 21 in the joint depression type. Average follow-up period was 14.6 months (range: 6-23 months). Average interval between from injury to operation was 2.3 days. Average AOFAS score was 87.7 (range: 52-92). Satisfactory results were obtained in 22 cases (73.3%) by AOFAS score and in 20 cases (66.7%) by VAS score (mean: 3.4). Radiological results improved from 8.7 to 20.3 degrees in the Bohler angle and from 40.2 mm to 52.1 mm in calcaneal height. Postoperative complications were 2 skin and soft tissue problems and 1 sural neuropathy. Conclusion: Minimally invasive percutaneous screw fixation may be useful alternative surgical method in the management of Sanders type II and III calcaneal fractures, which is possible to achieves the anatomical restoration and minimizes postoperative complication in patients with high risks of soft tissue compromise and allows relatively early operation.

Keywords

References

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